NPIMap

Individual provider Active NPI

Min Min Mya, M.D.

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1154369148
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94435 Issued in CA
Practice address
1211 W la Palma Ave
Suite 207
Anaheim, CA 92801-2815
Phone
(714) 772-8282
Fax
(714) 772-6493
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94435 CA Primary
Hospitalist Physician 208M00000X A94435 CA

Addresses

Primary practice location

1211 W la Palma Ave
Suite 207
Anaheim, CA 92801-2815

Mailing address

1211 W la Palma Ave
Suite 207
Anaheim, CA 92801-2815
Phone (714) 772-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110826000563 CA Practitioner - Internal Medicine 8426036542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chest and Critical Care Consultants a Medical GroupGroup PAC ID 7911987961, 71 clinicians

Practice addresses (Care Compare)

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 573-8200

Hospital & facility affiliations

  • Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Anaheim Community Hospital, LLC Hospital, Anaheim, CA, CCN 050854
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • Anaheim Global Medical Center Hospital, Anaheim, CA, CCN 050744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94435CAMDMarriage & Family Therapist
A94435CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
Broca Inpatient Services Internal Medicine Past Accepting new patients
Westchester County Health Care Corporation Past Accepting new patients
Medical Research Associates,PC Internal Medicine Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 207
Anaheim, CA 92801
Phone (714) 772-8282

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

1325 N Rose Dr
Ste 208
Placentia, CA 92870
Phone (714) 203-1283

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

14350 Whittier Blvd
Ste 315
Whittier, CA 90605
Phone (562) 464-2163

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1154369148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "SUITE 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYA",
        "first_name": "MIN MIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94435",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A94435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.